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Organization

OVG INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERONICA GOMEZ WSC (OWNER/DIRECTOR)
(904) 540-4629
Entity
Organization

Contact information

Practice address
2116 WOOD STORK AVE, SAINT AUGUSTINE, FL 32084-8251
(904) 540-4629
(904) 824-9341
Mailing address
2116 WOOD STORK AVE, SAINT AUGUSTINE, FL 32084-8251
(904) 540-4629
(904) 824-9341

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
690241396
FL
05
690241398
FL
Enumeration date
11/17/2010
Last updated
11/17/2010
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